Individual
ELLEN GIACOBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 S VAN BUREN ST, EAST DUNDEE, IL 60118-2315
(815) 236-9718
Mailing address
101 S VAN BUREN ST, EAST DUNDEE, IL 60118-2315
(815) 236-9718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020189
IL
1041S0200X
School Social Worker
994484
IL
Other
Enumeration date
04/09/2018
Last updated
07/24/2023
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